Investigation on home blood pressure monitoring among hypertensive patients / 预防医学

ABSTRACT

Objective @#To investigate the status and influencing factors of home blood pressure monitoring (HBPM) among hypertensive patients, so as to provide the evidence for building and maintaining HBPM among hypertensive patients. @*Methods@#Hypertensive patients hospitalized in the First Affiliated Hospital of Guangdong Pharmaceutical University were sampled from July to December 2022, and subjects' general data, HBPM behaviors and cognition were collected using self-designed questionnaires. In addition, factors affecting regular HBPM were identified using a multivariable logistic regression model.@*Results@#Totally 440 questionnaires were allocated, and 422 valid questionnaires were recovered, with an effective recovery rate of 95.91%. The respondents included 234 males (55.45%) and 188 females (44.55%), and had a median age of 70 (interquartile range, 15) years. There were 239 respondents with regular HBPM (56.64%). Of 422 respondents, 68 had good cognition of blood pressure monitoring (16.11%), and 79.15% did not think regular changes of their blood pressure within 24 hours, while 72.04% did not think it necessary to measure blood pressure more than twice a day. Multivariable logistic regression analysis showed that recommendation of regular blood pressure monitoring by healthcare workers (OR=4.341, 95%CI 2.493-7.560), number of blood pressure measurements according to real circumstances (OR=3.858, 95%CI 1.358-10.961), recording of measurement results (OR=4.945, 95%CI 1.863-13.129), provision of data to doctors at admission (OR=2.023, 95%CI 1.173-3.488) and good cognition of blood pressure monitoring (good, OR=11.939, 95%CI 3.972-35.886; general, OR=9.681, 95%CI 5.157-18.172) resulted in a high possibility of regular HBPM among respondents.@*Conclusion@#Hypertensive patients with recommendation of regular blood pressure monitoring by healthcare workers, number of blood pressure measurements according to real conditions, recording of blood pressure measurement results, provision of blood pressure to doctors at admission and good cognition of blood pressure monitoring are more likely to have regular HBPM.